Yersinia pseudotuberculosis Infection Complicated with Bacteremia in a 10-Month-Old Boy
Yersinia pseudotuberculosis (Y. pseudotuberculosis) infection complicated with bacteremia rarely occurs. Y. pseudotuberculosis infection is also known to produce various symptoms similar to Kawasaki disease (KD) due to the production of Y. pseudotuberculosis-derived mitogen (YPM), an exotoxin with s...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2020/8846511 |
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| _version_ | 1850179191575674880 |
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| author | Takuro Kamura Yuhei Tanaka Naoya Tsumura Takashi Ohya Yuki Okamatsu |
| author_facet | Takuro Kamura Yuhei Tanaka Naoya Tsumura Takashi Ohya Yuki Okamatsu |
| author_sort | Takuro Kamura |
| collection | DOAJ |
| description | Yersinia pseudotuberculosis (Y. pseudotuberculosis) infection complicated with bacteremia rarely occurs. Y. pseudotuberculosis infection is also known to produce various symptoms similar to Kawasaki disease (KD) due to the production of Y. pseudotuberculosis-derived mitogen (YPM), an exotoxin with superantigen activity. Moreover, it causes terminal ileitis and is responsible for appendix swelling. Here, we report a case of Y. pseudotuberculosis infection in a 10-month-old boy who was brought to our hospital due to fever, watery stool, and poor vitality. Abdominal echocardiography revealed wall thickening of the entire colon and appendix swelling; therefore, he was admitted and treated with antibiotics for bacterial enteritis or appendicitis. After the antibiotic administration, facial skin rashes and hand and foot edema developed. However, he had 5/6 major symptoms of KD and was diagnosed with Y. pseudotuberculosis infection because of its presence in the blood and stool cultures. Thereafter, antibacterial therapy improved his symptoms and increased the inflammatory response. After his hospital discharge, the skin on his fingers showed desquamation like that of KD. Y. pseudotuberculosis infection should be considered as a differential disease in KD, terminal ileitis, and appendicitis. Furthermore, its infection route and culture methods should also be carefully considered. |
| format | Article |
| id | doaj-art-be2cee8e34c94f3799d4113beee441b2 |
| institution | OA Journals |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-be2cee8e34c94f3799d4113beee441b22025-08-20T02:18:34ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/88465118846511Yersinia pseudotuberculosis Infection Complicated with Bacteremia in a 10-Month-Old BoyTakuro Kamura0Yuhei Tanaka1Naoya Tsumura2Takashi Ohya3Yuki Okamatsu4Department of Pediatrics, Aso Iizuka Hospital, 3-83 Yoshio Town, Iizuka 820-8505, JapanDepartment of Pediatrics, Aso Iizuka Hospital, 3-83 Yoshio Town, Iizuka 820-8505, JapanDepartment of Pediatrics, Aso Iizuka Hospital, 3-83 Yoshio Town, Iizuka 820-8505, JapanDepartment of Pediatrics, Aso Iizuka Hospital, 3-83 Yoshio Town, Iizuka 820-8505, JapanDepartment of Pediatrics, Aso Iizuka Hospital, 3-83 Yoshio Town, Iizuka 820-8505, JapanYersinia pseudotuberculosis (Y. pseudotuberculosis) infection complicated with bacteremia rarely occurs. Y. pseudotuberculosis infection is also known to produce various symptoms similar to Kawasaki disease (KD) due to the production of Y. pseudotuberculosis-derived mitogen (YPM), an exotoxin with superantigen activity. Moreover, it causes terminal ileitis and is responsible for appendix swelling. Here, we report a case of Y. pseudotuberculosis infection in a 10-month-old boy who was brought to our hospital due to fever, watery stool, and poor vitality. Abdominal echocardiography revealed wall thickening of the entire colon and appendix swelling; therefore, he was admitted and treated with antibiotics for bacterial enteritis or appendicitis. After the antibiotic administration, facial skin rashes and hand and foot edema developed. However, he had 5/6 major symptoms of KD and was diagnosed with Y. pseudotuberculosis infection because of its presence in the blood and stool cultures. Thereafter, antibacterial therapy improved his symptoms and increased the inflammatory response. After his hospital discharge, the skin on his fingers showed desquamation like that of KD. Y. pseudotuberculosis infection should be considered as a differential disease in KD, terminal ileitis, and appendicitis. Furthermore, its infection route and culture methods should also be carefully considered.http://dx.doi.org/10.1155/2020/8846511 |
| spellingShingle | Takuro Kamura Yuhei Tanaka Naoya Tsumura Takashi Ohya Yuki Okamatsu Yersinia pseudotuberculosis Infection Complicated with Bacteremia in a 10-Month-Old Boy Case Reports in Pediatrics |
| title | Yersinia pseudotuberculosis Infection Complicated with Bacteremia in a 10-Month-Old Boy |
| title_full | Yersinia pseudotuberculosis Infection Complicated with Bacteremia in a 10-Month-Old Boy |
| title_fullStr | Yersinia pseudotuberculosis Infection Complicated with Bacteremia in a 10-Month-Old Boy |
| title_full_unstemmed | Yersinia pseudotuberculosis Infection Complicated with Bacteremia in a 10-Month-Old Boy |
| title_short | Yersinia pseudotuberculosis Infection Complicated with Bacteremia in a 10-Month-Old Boy |
| title_sort | yersinia pseudotuberculosis infection complicated with bacteremia in a 10 month old boy |
| url | http://dx.doi.org/10.1155/2020/8846511 |
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